open access

Vol 13, No 3 (2018)
Case Reports
Published online: 2018-07-15
Get Citation

Giant aneurysms of pan-proximal coronary arteries including left main presenting as acute coronary syndrome in 23-year-old male: an unusual sequelae of Kawasaki disease

Santosh Kumar Sinha, Prakash Kumar, Amit Goel, Karandeep Singh, Mahmadula Razi, Ramesh Thakur
DOI: 10.5603/FC.2018.0045
·
Folia Cardiologica 2018;13(3):240-243.

open access

Vol 13, No 3 (2018)
Case Reports
Published online: 2018-07-15

Abstract

The reported incidence of coronary artery aneurysms (CAA) on angiography varies between 0.3 to 5.3%. Right coronary artery is the most commonly affected followed by left circumflex or left anterior descending artery. Three-vessel or left main involvement is exceedingly rare. Atherosclerosis accounts for the vast majority of CAAs in adults, whereas Kawasaki disease is responsible for most cases in children. We report a rare case of Kawasaki disease associated with giant aneurysms ( > 8 mm) in coronary circulation, including left main coronary artery in 23-year-old male having maturity onset diabetes (MODY), who presented with acute coronary syndrome.

Abstract

The reported incidence of coronary artery aneurysms (CAA) on angiography varies between 0.3 to 5.3%. Right coronary artery is the most commonly affected followed by left circumflex or left anterior descending artery. Three-vessel or left main involvement is exceedingly rare. Atherosclerosis accounts for the vast majority of CAAs in adults, whereas Kawasaki disease is responsible for most cases in children. We report a rare case of Kawasaki disease associated with giant aneurysms ( > 8 mm) in coronary circulation, including left main coronary artery in 23-year-old male having maturity onset diabetes (MODY), who presented with acute coronary syndrome.
Get Citation

Keywords

coronary artery aneurysm, Kawasaki disease, giant aneurysm

About this article
Title

Giant aneurysms of pan-proximal coronary arteries including left main presenting as acute coronary syndrome in 23-year-old male: an unusual sequelae of Kawasaki disease

Journal

Folia Cardiologica

Issue

Vol 13, No 3 (2018)

Pages

240-243

Published online

2018-07-15

DOI

10.5603/FC.2018.0045

Bibliographic record

Folia Cardiologica 2018;13(3):240-243.

Keywords

coronary artery aneurysm
Kawasaki disease
giant aneurysm

Authors

Santosh Kumar Sinha
Prakash Kumar
Amit Goel
Karandeep Singh
Mahmadula Razi
Ramesh Thakur

References (9)
  1. Kato H, Koike S, Yamamoto M, et al. Coronary aneurysms in infants and young children with acute febrile mucocutaneous lymph node syndrome. J Pediatr. 1975; 86(6): 892–898.
  2. Newburger JW, Takahashi M, Burns J, et al. The treatment of Kawasaki syndrome with intravenous gamma globulin. N Engl J Med. 1986; 315(6): 341–347.
  3. Kato H, Ichinose E, Yoshioka F, et al. Fate of coronary aneurysms in Kawasaki disease: serial coronary angiography and long-term follow-up study. Am J Cardiol. 1982; 49(7): 1758–1766.
  4. Robertson T, Fisher L. Prognostic significance of coronary artery aneurysm and ectasia in the Coronary Artery Surgery Study (CASS) registry. In: Schulman ST. ed. Kawasaki disease: progress in clinical and biological research. Vol. 2. Alan R. Liss., New York 1987: 325–339.
  5. Kato H, Sugimura T, Akagi T, et al. Long-term consequences of Kawasaki disease. A 10- to 21-year follow-up study of 594 patients. Circulation. 1996; 94(6): 1379–1385.
  6. Suda K, Iemura M, Nishiono H, et al. Long-term prognosis of patients with Kawasaki disease complicated by giant coronary aneurysms: a single-institution experience. Circulation. 2011; 123(17): 1836–1842.
  7. Mitani Y, Sawada H, Hayakawa H, et al. Elevated levels of high-sensitivity C-reactive protein and serum amyloid-A late after Kawasaki disease: association between inflammation and late coronary sequelae in Kawasaki disease. Circulation. 2005; 111(1): 38–43.
  8. Cheung Yf, O K, Woo CWH, et al. Oxidative stress in children late after Kawasaki disease: relationship with carotid atherosclerosis and stiffness. BMC Pediatr. 2008; 8: 20.
  9. Kato H, Inoue O O, Kawasaki T. Adult coronary artery disease probably due to childhood Kawasaki disease. Lancet. 1992; 340(8828): 1127–1129.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl